Organization · Type 2 NPI

Rainer Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Louis, MO

NPI number 1245580570 Active

Practice location

3740 S Jefferson Ave
St. Louis, MO 63118-3905

Call (314) 664-6687 Map

Fax (314) 772-1614

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

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NPI record

NPI: 1245580570
Entity type: Organization (Type 2)
Issued: Sep 13, 2012
Last updated: Sep 16, 2026
Status: Active

Other names

<unavail>
South City Dialysis · doing business as
South City Dialysis · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1245580570

Rainer Dialysis LLC's National Provider Identifier is 1245580570, issued on Sep 13, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Louis, MO. The record was last updated on Sep 16, 2026.